مولود بعملية قيصرية في الأسبوع ٣٩، تنفسه سريع ٧٢ في الأولى ساعات، وتشبعه ٩٥٪، ولا يوجد تراجع شديد. ما السبب الأرجح؟

A term baby born by caesarean at 39 weeks breathes at 72/min in the first hours, SpO2 95%, without severe recession. What is the likely cause?

1. Severe surfactant deficiency
2. Serious bacterial pneumonia
3. Meconium aspiration
4. Transient tachypnoea of the newborn

Answer: D) Transient tachypnoea of the newborn. Transient tachypnoea is common after caesarean because lung fluid is not fully cleared. It usually settles within 24–72 hours with monitoring and support; severe or persistent distress prompts a search for other causes.